Local microbiological monitoring and antibiotic resistance of main pathogenic agents in patients with surgical pathology in the intense care departments

The patients with the severe abdominal surgical pathology under intensive care conditions should be classified as those of having high risk for the infectious complications with due consideration to the severity, immune state, invasive methods of diagnostics and treatment. The clarified microbial picture and antibiotic resistance are required to administer adequate antibacterial therapy. The authors have conducted tests of 159 bioassays from 104 patients with the diseases in bile passages and pancreatic gland, stomach and bowels who underwent treatment in the anaesthesiology and reanimation department of the Vladivostok Clinical Hospital No. 2 in 2009–2011. As shown, there were gram-negative non‑fermentative bacteria (A. baumannii, Р. aeruginosa) and Enterobacteriaceae (Е. gergoviae, E. aerogenes, E. coli, K. pneumoniae) in the specimen of endotracheal aspirate, peritoneal fluid and traumatic discharge. Their resistance rate reached critical values. The gram‑positive flora comprised S. epidermidis, S. pyogenes, E. faecalis, and S. aureus.